test of TX redirect

Preferred First Name for Badge

Name

First

Last

Business Name

Job Title

Address

Address Line 1

Address Line 2

City

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Zip Code

Phone

Email

Attendee's Email Address

Fax

Registration Rate

Price: $550.00

Special Needs Request

Do you want to purchase ticket(s) to the Kids’ Chance of Texas Sundance Head Concert?

Total

$0.00

How would you like to pay?

Payment via Authorize.Net

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Payment by Check